Active NPI
Kathryn Collins, RD
- Renal Nutrition Registered Dietitian
- Thousand Oaks, CA
National Provider Identifier
1285813097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 805603
- Practice address
- 227 Janss Road
110
Thousand Oaks, CA 91360-1854 - Phone
- (805) 217-8383
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 805603 | IL | Primary |
Addresses
Primary practice location
227 Janss Road
110
Thousand Oaks, CA 91360-1854
Mailing address
361 Spring Breeze CT.
Simi Valley, CA 93065-0838
Phone (805) 217-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805603 | IL | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1285813097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 SPRING BREEZE CT.",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650838",
"telephone_number": "805-217-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 JANSS ROAD",
"address_2": "110",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601854",
"telephone_number": "805-217-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "805603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
- Cheryl Michelle Cohler, M.D.
- Christine M Cole, M.D.
- Amber Lea Coleman, M.D.
- Monte Carol Coleman, MSW, LCSW
- Vallerie Elizabeth Coleman, PH.D.
- Tanya Marynka Collins, M.D.
- Community Medical Group Inc
- Compass Charter Schools of Los Angeles
- Compass Charter Schools of San Diego
- Compass Charter Schools of Yolo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.